2026 NPPES data Acute Care Clinical Nurse Specialist NPI 1245866821 AG-CNS
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CHRISTY GOWARD, AG-CNS

Acute Care Clinical Nurse Specialist in LIVONIA, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 150 beneficiaries · Acute Care Clinical Nurse Specialist avg: 773
Industry payments
$22.37
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CHRISTY GOWARD, AG-CNS filed 4,885 Medicare Part D claims in 2023 as a Acute Care Clinical Nurse Specialist in LIVONIA, Michigan.

5K
Part D claims, 2023
$22.37
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CHRISTY GOWARD, AG-CNS's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

4,885 Top 7% higher than 93% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about CHRISTY GOWARD, AG-CNS?

Quality data not reported

NPI registry status

Active

Issued 03/16/2020

NPI 1245866821

Primary specialty

Acute Care Clinical Nurse Specialist

Niche

510 US NPIs in this specialty

Medicare Part D claims

4,885 532% vs specialty avg

2023 prescription claims

Specialty avg: 773

Specialty distribution in Michigan

How Acute Care Clinical Nurse Specialist compares to other specialties among Michigan providers

Michigan providers

Acute Care Clinical Nurse Specialist share within Michigan

1. Acute Care Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Clinical Nurse Specialist share within Michigan

Specialty board-certification context

Estimated specialty board-certified rate — Acute Care Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Acute Care Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Acute Care Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Acute Care Clinical Nurse Specialist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CHRISTY GOWARD, AG-CNS appears in the CMS NPPES registry as a Acute Care Clinical Nurse Specialist provider holding AG-CNS credentials at 36475 5 MILE RD, LIVONIA, MI, 48154, with a listed phone of (734) 655-3400. NPI 1245866821 was issued on 03/16/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOWARD most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,885 prescription claims written by this provider, covering 150 Medicare beneficiaries and totaling roughly $487K in drug spend, with an opioid prescribing rate of 3.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Acute Care Clinical Nurse Specialist is a narrow specialty nationwide, with 510 enrolled providers across 47 states and an average of 773 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

36475 5 MILE RD
LIVONIA, MI 48154

Provider Details

NPI 1245866821
Specialty Acute Care Clinical Nurse Specialist
Credentials AG-CNS
Gender Female
NPI Issued 03/16/2020

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for CHRISTY GOWARD, AG-CNS. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

Neurelis, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to CHRISTY GOWARD, AG-CNS. To verify CHRISTY GOWARD, AG-CNS's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,885
Total Claims
$487K
Total Drug Cost
150
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,885
Total Day Supply
94,256
Generic Drug Cost
$138K
Opioid Claims
148 (3.0% rate)
Antibiotic Claims
138

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
3.17
Gender Split
53% female / 47% male
Age Distribution
<65: 20, 65-74: 70, 75-84: 37, 85+: 23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CHRISTY GOWARD, AG-CNS prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Metoprolol Succinate
236
Ondansetron Hcl
223
Atorvastatin Calcium
210
Lactulose
178
Losartan Potassium
144
Jardiance
Empagliflozin
124
Potassium Chloride
114
Eliquis
Apixaban
108
Ipratropium-Albuterol
Ipratropium/Albuterol Sulfate
107
Metformin Hcl
100

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Acute Care Clinical Nurse Specialist Overview

How CHRISTY GOWARD, AG-CNS fits within the Acute Care Clinical Nurse Specialist landscape nationally.

510
Acute Care Clinical Nurse Specialist Providers in US
47
States with Acute Care Clinical Nurse Specialist
773
Avg Claims per Provider

CHRISTY GOWARD, AG-CNS's 4,885 claims are above the specialty average of 773.

Nearby Acute Care Clinical Nurse Specialist Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as GOWARD.

Compare Acute Care Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHRISTY GOWARD, AG-CNS's specialty?
CHRISTY GOWARD, AG-CNS specializes in Acute Care Clinical Nurse Specialist and practices in LIVONIA, Michigan. Credentials: AG-CNS.
How much does CHRISTY GOWARD, AG-CNS prescribe under Medicare Part D?
In 2023, CHRISTY GOWARD, AG-CNS wrote 4,885 Medicare Part D claims totaling $487K in drug costs for 150 beneficiaries.
Where is CHRISTY GOWARD, AG-CNS located?
CHRISTY GOWARD, AG-CNS is located at 36475 5 MILE RD, LIVONIA, MI, 48154. Phone: (734) 655-3400.
What is CHRISTY GOWARD, AG-CNS's NPI number?
CHRISTY GOWARD, AG-CNS's National Provider Identifier (NPI) is 1245866821, issued on 03/16/2020.
Does CHRISTY GOWARD, AG-CNS prescribe opioids?
Yes, CHRISTY GOWARD, AG-CNS had 148 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Acute Care Clinical Nurse Specialist providers are there in the US?
There are 510 Acute Care Clinical Nurse Specialist providers across 47 states in the US. The average Acute Care Clinical Nurse Specialist provider writes 773 Medicare Part D claims per year.
What drugs does CHRISTY GOWARD, AG-CNS prescribe most often?
Based on 2023 Medicare Part D data, CHRISTY GOWARD, AG-CNS's most frequently prescribed drugs include Metoprolol Succinate, Ondansetron Hcl, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHRISTY GOWARD, AG-CNS accept Medicare?
CHRISTY GOWARD, AG-CNS appears in CMS Medicare data with 4,885 Part D claims and 150 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHRISTY GOWARD, AG-CNS's credentials?
CHRISTY GOWARD, AG-CNS's NPI is 1245866821 with credentials AG-CNS. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology